Noninvasive Diagnosis of Hepatocellular Carcinoma: Elaboration on Korean Liver Cancer Study Group-National Cancer Center Korea Practice Guidelines Compared with Other Guidelines and Remaining Issues

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Jeong Hee YoonJeong Min Lee

Abstract

Hepatocellular carcinoma (HCC) can be diagnosed based on characteristic findings of arterial-phase enhancement and portal/delayed "washout" in cirrhotic patients. Several countries and major academic societies have proposed varying specific diagnostic criteria for HCC, largely reflecting the variable HCC prevalence in different regions and ethnic groups, as well as different practice patterns. In 2014, a new version of Korean practice guidelines for management of HCC was released by the Korean Liver Cancer Study Group (KLCSG) and the National Cancer Center (NCC). According to the KLCSG-NCC Korea practice guidelines, if the typical hallmark of HCC (i.e., hypervascularity in the arterial phase with washout in the portal or 3 min-delayed phases) is identified in a nodule ≥ 1 cm in diameter on either dynamic CT, dynamic MRI, or MRI using hepatocyte-specific contrast agent in high-risk groups, a diagnosis of HCC is established. In addition, the KLCSG-NCC Korea practice guidelines provide criteria to diagnose HCC for subcentimeter hepatic nodules according to imaging findings and tumor marker, which has not been addressed in other guidelines such as Association for the Study of Liver Diseases and European Association for the Study of...Continue Reading

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Citations

May 2, 2017·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·UNKNOWN Korean Society of Abdominal Radiology
Sep 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sung Il ParkKwang-Hyub Han
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Mar 3, 2019·Digestive Diseases and Sciences·Maxime RonotValérie Vilgrain
Dec 20, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Yeon Hyeon Choe
Jan 24, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Mimi KimKyunga Kim
Jul 5, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jae Hyun KimJeong Min Lee
Jul 3, 2018·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Seunghee HanYoung Joon Lee

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Methods Mentioned

BETA
imaging techniques
surgical resection
biopsy

Software Mentioned

RADS
ECCM
LI

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